To Assess Association of Oral Habits and Temporomandibular Joint Disorders in Adolescents: A Cohort Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Introduction: The etiological factor behind degenerative changes in the temporomandibular joints (TMJs) is controversial. Tooth attrition, improper occlusal andhabits are possible causative factors. Oral habits are common and generally do not harm the stomatognathic apparatus but, when the activity exceeds the individual’s physiologic tolerance, the system begins to alter. Although psychological factors are an important etiological component in producing and perpetuating TMJ disorders a comprehensive view of the problem can be understood through the concept of multifactorial etiology. This study aims at assessing the association of oral habits and temporomandibular joint disorders through history of oral habits and clinical examination. Methodology: Adolescents aged between 15 & 20 yrs were included in the study. Each participant answered the questioner regarding the oral habits and symptoms of TMD. Oral habits - Chewing sticky products, Bruxism, Biting habits,continuous leaning of the chin on the hand,Clenching were included and recorded. Questionnaire on oral habitsand clinical examination check list were recorded on the basis of RDC Criteria . Results and observation: The results obtained were analyzed by Chi-Squared test.The analysis of the 30 questionnaires gave insight into the association of oral habits with both sexes. Also, prevalence of various TMD with different habits was seen.This study indicates that there was higher rate of oral habits among women. Men with oral habits have more frequency of mild tmj disorders.Chewing sticky products: 6 males and 4 females had habit of chewing sticky products. Out of 6 male 4 patient had TMJ pain and 2 female had TMJ pain. I male had TMJ pain associated with clicking and jaw lock.Bruxism: 5 males and 3 females reported with bruxism habit. 3 male had TMJ pain and clicking..1male patient had TMJ pain and 2 female had TMJ pain associated with clicking and jaw lock.Clenching: out of 30 patient 1 male and 2 female reported with clenching. Males didn’t report with TMJ pain and clicking and jaw lock. 2 females had TMJ pain associated with clicking and jaw lock.Chewing sticky products +clenching: 3 males and 5 females had habit of chewing sticky products and clenching. 3 males and 1 female reported with TMJ pain. 1 female patient had TMJ pain with clicking and no males had TMJ pain with clicking. 3 females had TMJ pain associated with clicking and jaw lock.Bruxism + clenching: 1 female patient had bruxism and clenching and associated with TMJ pain.Headache/migraine: 9 males were affected with headache and migraine in last 6 months.13 females were affected with headache and migraine in last 6 months.
Authors and Affiliations
Dr Shivayogi Charantimath, Dr Abhishek Roy
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